Abstract
Advance planning can facilitate the care of a patient with an exotic disease who is admitted to a hospital that lacks facilities for high-security isolation. The Department of National Health and Welfare contingency plan for dealing with such patients lacks specific information in a number of areas of medical care, as described in this paper. Consideration must be given to the number of personnel trained and readied for employment, the criteria for selection and special preparation. The protective clothing generally used for hospital isolation procedures is inadequate. Several types of special clothing, including a respirator, are available for total protection of personnel; the clothing may be uncomfortable when worn for long periods, and does restrict movement, vision and communication. All persons entering the isolation suite must change into fully protective clothing, and double layers of clothing are required for direct patient care. All personnel must shower and change before leaving the isolation suite. Suitable facilities for dressing and showering, together with entry and exit routines, must be considered. Hand washing, daily cleaning procedures and disposal of liquid and solid wastes all require special procedures. The social and psychologic problems of patients and their families must also be considered. Preplanning is required to decrease the risks involved in monitoring vital signs and implementing emergency procedures requiring contact with the patient's blood.
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- Clausen L., Bothwell T. H., Isaäcson M., Koornhof H. J., Gear J. H., McMurdo J., Payn E. M., Miller G. B., Sher R. Isolation and handling of patients with dangerous infectious disease. S Afr Med J. 1978 Feb 18;53(7):238–242. [PubMed] [Google Scholar]
- Emond R. T., Evans B., Bowen E. T., Lloyd G. A case of Ebola virus infection. Br Med J. 1977 Aug 27;2(6086):541–544. doi: 10.1136/bmj.2.6086.541. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Emond R. T. Isolation for high-risk patients. Postgrad Med J. 1976 Sep;52(611):563–566. doi: 10.1136/pgmj.52.611.563. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Trexler P. C., Emond R. T., Evans B. Negative-pressure plastic isolator for patients with dangerous infections. Br Med J. 1977 Aug 27;2(6086):559–561. doi: 10.1136/bmj.2.6086.559. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zweighaft R. M., Fraser D. W., Hattwick M. A., Winkler W. G., Jordan W. C., Alter M., Wolfe M., Wulff H., Johnson K. M. Lassa fever: response to an imported case. N Engl J Med. 1977 Oct 13;297(15):803–807. doi: 10.1056/NEJM197710132971504. [DOI] [PubMed] [Google Scholar]